Providing Quality Contraceptive Counseling Education A Toolkit for

Providing Quality Contraceptive Counseling & Education: A Toolkit for Training Staff Activity 5. 1 Confirming Understanding and Making a Plan 1

What is teach-back? A method for ensuring understanding in a non-shaming way Asking patients to explain in their own words what they need to know or do An indication of how well YOU communicated the information, NOT a "test" of the patient Family Planning National Training Centers · Supported by Office of Population Affairs 2

What is teach-back? A chance to check for understanding and, if necessary, re-explain and check again An evidence-based approach to improving patient-provider communication and patient health outcomes Family Planning National Training Centers · Supported by Office of Population Affairs 3

Introducing teach-back “I want to make sure that I did a good job explaining. ” Family Planning National Training Centers · Supported by Office of Population Affairs 4

The message can be tailored… Family Planning National Training Centers · Supported by Office of Population Affairs 5

Why use teach-back? Among patients who could recall their doctor’s instructions, nearly half of the patients remembered the information incorrectly. Family Planning National Training Centers · Supported by Office of Population Affairs 6

Why use teach-back? Up to 80% of clients said they forgot what their doctor said to do after leaving the office. Family Planning National Training Centers · Supported by Office of Population Affairs 7

What if. . . ? Restate, but. . . • Use simpler language • Take more time (longer pauses) with more time for questions. • Break up information into smaller pieces. Family Planning National Training Centers · Supported by Office of Population Affairs 8

What if. . . ? Reassess Ask open-ended questions until you and your client feel confident she or he understands needed information Family Planning National Training Centers · Supported by Office of Population Affairs 9

When to use teach-back? Family Planning National Training Centers · Supported by Office of Population Affairs 10

Key Elements in Closing a Session • Use teach-back to confirm your client’s understanding • Address any possible barriers to successful method use • Confirm your client’s plan for: • Access to the method (ideally onsite, or by referral) • Effective method use – consistently & correctly • What to do if they have questions or problems • How to use back-up/emergency contraception • Provide contact information for follow up, if the client wishes to change methods, or to receive other services or referrals • Summarize with the client the key points to remember Family Planning National Training Centers · Supported by Office of Population Affairs 11

Questions/Comments Family Planning National Training Centers · Supported by Office of Population Affairs 12

References & Resources The teach back technique: communicating effectively with patients. Kenilworth, NJ: Merck & Co, Inc. ; 2011. Available from: http: //www. care 1 st. com/az/PDF/provider/compliance/ cultural_competency/MERCK_Teach. Back. Technique. pdf Schillinger D, Piette J, Grumbach K, et al. Closing the loop: physician communication with diabetic patients who have low health literacy. Arch Intern Med. 2003; 163: 83– 90. Kutner M, Greenberg E, Jin Y, et al. The health literacy of America’s adults: results from the 2003 National Assessment of Adult Literacy. Washington, DC: US Department of Education; 2006. Family Planning National Training Centers · Supported by Office of Population Affairs 13

Contact us Family Planning National Training Centers · Supported by Office of Population Affairs 14